Results

Total Results: 1,922 records

Showing results for "failures".

161. Chapter 8. Continue To Improve, Hold the Gains, and Spread the Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide8.html
     May 01, 2016 - Allows “failures” to come to light without undermining performance and momentum.

162. 3 Tk1 T5-Draft Policies And Procedures For The Antimicrobial Stewardship Program Final (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.docx
     October 01, 2016 - The use of this procedure can help reduce unnecessary prescribing and lead to fewer antibiotic failures

163. Chapter 8. Continue To Improve, Hold the Gains, and Spread the Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide8.html
     May 01, 2016 - Allows “failures” to come to light without undermining performance and momentum.

164. Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-safety-transitions-care.pdf
     June 01, 2023 - and system-based failures, all of which can lead to diagnostic errors.60 Although substantial efforts … Care transitions, sources of error, and potential mitigating strategies Care Transition Latent Failures … Dropping the baton: a qualitative analysis of failures during the transition from emergency department … Replacing hindsight with insight: toward better understanding of diagnostic failures. … Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis

165. Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project (pdf file)
     www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
     January 01, 2025 - spotlight of patient safety, this aspect of clinical medicine is clearly vulnerable to well-documented failures … factors, such as variation in quality of test performance and readings, combined with communication failures … Critical information can be missed because of failures in history taking, lack of access to medical … records, failures in transmission of diagnostic test results, or faulty record organization (paper or … A model of medical error based on a model of disease: interactions between adverse events, failures

166. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=3
     January 01, 2024 - Implementation, Nursing Homes, Patient Safety Culture Publication Date: August 2020 Investigating Failures

167. In Pandemic’s Wake, We Must Recommit to Patient and Workforce Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/blog/ahrqviews/patient-workforce-safety.html
     March 01, 2023 - In my opening remarks, I stressed that failures in patient safety are not equally distributed and shared

168. 155-Performing-Premortem-Project-Assessment (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/155-performing-premortem-project-assessment.docx
     October 01, 2024 - Develop plans and strategies to prevent those foreseen potential failures.

169. 115-Daily-Goals-Icu-Checklist (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/115-daily-goals-icu-checklist.docx
     October 01, 2024 - Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and

170. St. Jude Relies on AHRQ's Hospital Survey on Patient Safety Culture | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/cquips1402.html
     January 01, 2014 - data for frequency of total submitted reports, types of events (e.g., medication variances, device failures

171. 3 Tk1 T5-Draft Policies And Procedures For The Antimicrobial Stewardship Program Final (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.pdf
     October 01, 2016 - The use of this procedure can help reduce unnecessary prescribing and lead to fewer antibiotic failures

172. Sustainability and the Premortem Tool: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/sustainability/premortem-fac-notes.html
     December 01, 2017 - Say: Which failures would impede sustainability of the safe surgery project?

173. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol1.pdf
     July 01, 2023 - explores: ■ How patient-reported experiences can augment other methods of identifying diagnostic failures … Feedback from patient experiences can be useful for addressing diagnostic failures in two distinct ways … That promise holds similar appeal for addressing diagnostic failures.37 As one paper concluded, “Insights … in three broad (somewhat overlapping) categories: delays in diagnosis, missed or misdiagnosis, and failures … event occurred at all.39,47 That may lead to systematic underreporting of more complex diagnostic failures

174. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions7.html
     June 01, 2023 - Dropping the baton: a qualitative analysis of failures during the transition from emergency department … Replacing hindsight with insight: toward better understanding of diagnostic failures. … Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis

175. Chapter 3. Care Coordination Measurement Framework | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/care/coordination/atlas/chapter3.html
     June 01, 2014 - a health care professional, care team, or health care organization) will be expected to answer for failures … Monitor for successes and failures in care and coordination. … Refine the care plan as needed to accommodate new information or circumstances and to address any failures

176. Strategy 6P: Service Recovery Programs | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
     April 01, 2022 - If you make it hard for members or patients to complain, you will continue to miss important service failures … Use this team to develop planned protocols for service recovery for your most common service failures

177. Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
     January 01, 2024 - These events resulted in delays and patient harm, and they involved failures in the processes of medication … HFMEA is a systematic, proactive method of process evaluation that identifies where and how failures … A significant portion of events reported were related to delays or failures, particularly for laboratory

178. Patient Imaging Quality and Safety Laboratory (PIQS Lab) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/imaging-quality-long-desc.html
     April 01, 2021 - After conducting problem analysis, the PIQS Lab identified numerous process failures and opportunities

179. Section 3: Teaching Introductory Material | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/intro/teach.html
     August 01, 2023 - Show interest in what others say as they introduce themselves and share your own successes and failures

180. Diagnostic Safety Research Priorities and Opportunities | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-4.html
     August 01, 2023 - conditions. 129 As diagnostic safety research advances, we should not only focus on learning from failures